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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">uzspbgmu</journal-id><journal-title-group><journal-title xml:lang="ru">Учёные записки Первого Санкт-Петербургского государственного медицинского университета имени академика И. П. Павлова</journal-title><trans-title-group xml:lang="en"><trans-title>The Scientific Notes of the Pavlov University</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1607-4181</issn><issn pub-type="epub">2541-8807</issn><publisher><publisher-name>Academician I.P. Pavlov First St. Petersburg State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/1607-4181-2022-29-3-46-54</article-id><article-id custom-type="elpub" pub-id-type="custom">uzspbgmu-879</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ РАБОТЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL PAPERS</subject></subj-group></article-categories><title-group><article-title>Экспрессия рецептора дофамина DRD1 (мРНК, белок) в лимфоцитах периферической крови и прогноз антипсихотической терапии</article-title><trans-title-group xml:lang="en"><trans-title>Dopamine receptor DRD1 expression (mRNA, protein level) in peripheral blood lymphocytes and prognosis of antipsychotic therapy</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9304-6435</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Заботина</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Zabotina</surname><given-names>A. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>младший научный сотрудник, лаборатория молекулярной генетики человека, 188300, Ленинградская обл., г. Гатчина, мкр. Орлова роща, д. 1;</p><p>младший научный сотрудник, лаборатория молекулярной биологии Отдела молекулярно-генетических и нанобиологических технологий, Санкт-Петербург</p></bio><bio xml:lang="en"><p>Junior Research Fellow, Laboratory of Human Molecular Genetics, Kurchatov Institute, Gatchina;</p><p>Junior Research Fellow at the Laboratory of Molecular Biology of the Department of Molecular, Genetic and  Nanobiological Technologies, Saint Petersburg</p></bio><email xlink:type="simple">a.zabotina@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-8495-5581</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Журавлев</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhuravlev</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>лаборант-исследователь, лаборатория молекулярной генетики человека,</p><p>г. Гатчина</p></bio><bio xml:lang="en"><p>Laboratory Research Assistant, Laboratory of Human Molecular Genetics,</p><p>Saint Petersburg</p></bio><email xlink:type="simple">rigold988@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1186-1303</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Грунина</surname><given-names>М. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Grunina</surname><given-names>M. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>младший научный сотрудник, лаборатория молекулярной генетики человека,</p><p>г. Гатчина</p></bio><bio xml:lang="en"><p>Junior Research Fellow, Laboratory of Human Molecular Genetics,</p><p>Gatchina</p></bio><email xlink:type="simple">by2306@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1874-9434</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Насырова</surname><given-names>Р. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Nasyrova</surname><given-names>R. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, руководитель Института персонализированной психиатрии и неврологии, главный научный сотрудник; </p><p>врач,</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med.), Head of the Institute of Personalized Psychiatry and Neurology, Chief Researcher,</p><p>Doctor, St. Petersburg City Psychiatric Hospital № 1 named after P. P. Kashchenko;</p><p>Saint Petersburg</p></bio><email xlink:type="simple">nreginaf77@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4038-7230</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волкова</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Volkova</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>младший научный сотрудник, Отдел молекулярно-генетических и нанобиологических технологий, </p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Junior Research Fellow, Department of Molecular, Genetic and Nanobiological Technologies, </p><p>Saint Petersburg</p></bio><email xlink:type="simple">ignatyevaev@gmail.com</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тюрин</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Tyurin</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>студент, </p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Student, </p><p>Saint Petersburg</p></bio><email xlink:type="simple">sashater.turin@yandex.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6318-7536</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лиманкин</surname><given-names>О. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Limankin</surname><given-names>O. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, главный врач,</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med.), Chief Physician,</p><p>Nikolskoye</p></bio><email xlink:type="simple">limankin@mail.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Отмахов</surname><given-names>А. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Otmakhov</surname><given-names>A. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>главный врач,</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Chief Physician, </p><p>Saint Petersburg</p></bio><email xlink:type="simple">otmakhov_a@mail.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0529-4525</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крупицкий</surname><given-names>Е. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Krupitsky</surname><given-names>E. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>руководитель лаборатории клинической фармакологии аддиктивных состояний Института фармакологии им. А. В. Вальдмана;</p><p>доктор медицинских наук, профессор, зам. директора по научной работе, руководитель отдела наркологии,</p><p>Санкт-Петербург</p><p> </p></bio><bio xml:lang="en"><p>Head of the Laboratory of Clinical Pharmacology of Addictive States of Valdman Institute of Pharmacology;</p><p>Dr. of Sci. (Med.), Professor, Deputy Director for Scientific Work, Head of the Department of Narcology,</p><p>Saint Petersburg</p></bio><email xlink:type="simple">kruenator@gmail.com</email><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5618-4206</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Незнанов</surname><given-names>Н. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Neznanov</surname><given-names>N. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, зав. кафедрой психиатрии и наркологии;</p><p>директор, научный руководитель отделения гериатрической психиатрии,</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med.), Professor, Head of the Department of Psychiatry and Narcology;</p><p>Director, Scientific Director of the Department of Geriatric Psychiatry,</p><p>Saint Petersburg</p></bio><email xlink:type="simple">spbinstb@bekhterev.ru</email><xref ref-type="aff" rid="aff-7"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1725-8433</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тараскина</surname><given-names>А. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Taraskina</surname><given-names>A. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат биологических наук, старший научный сотрудник Лаборатории молекулярной генетики человека Отдела молекулярной и радиационной биофизики, г. Гатчина;</p><p>зав. лабораторией молекулярной биологии Отдела молекулярно-генетических и нанобиологических технологийНаучно-исследовательского центра, Санкт-Петербург;</p><p>старший научный сотрудник отделения биологической терапии психически больных, Санкт-Петербург</p></bio><bio xml:lang="en"><p>Cand. of Sci. (Biol.), Senior Research Fellow at the Laboratory of Human Molecular Genetics of the Department of Molecular and Radiation Biophysics, Gatchina;</p><p>Head of the Laboratory of Molecular Biology of the Department of Molecular, Genetic and Nanobiological Technologies of the Research Center, Saint Petersburg;</p><p>Senior Research Fellow of the Department of Biological Therapy for Mental Patients, V. M. Bekhterev National Medical Research Center for Psychiatry and Neurology, Saint Petersburg</p></bio><email xlink:type="simple">ataraskina@mail.ru</email><xref ref-type="aff" rid="aff-8"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Петербургский институт ядерной физики имени Б. П. Константинова Национального исследовательского центра „Курчатовский институт“»;&#13;
Федеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Petersburg Nuclear Physics Institute (PNPI);&#13;
Pavlov University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Петербургский институт ядерной физики имени Б. П. Константинова Национального исследовательского центра „Курчатовский институт“»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Petersburg Nuclear Physics Institute (PNPI)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр психиатрии и неврологии имени В. М. Бехтерева» Министерства здравоохранения Российской Федерации;&#13;
Санкт-Петербургская городская психиатрическая больница № 1 имени П. П. Кащенко</institution><country>Россия</country></aff><aff xml:lang="en"><institution>V. M. Bekhterev National Medical Research Center for Psychiatry and Neurology;&#13;
St. Petersburg City Psychiatric Hospital № 1 named after P. P. Kashchenko</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Санкт-Петербургская городская психиатрическая больница № 1 имени П. П. Кащенко</institution><country>Россия</country></aff><aff xml:lang="en"><institution>St. Petersburg City Psychiatric Hospital № 1 named after P. P. Kashchenko</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Государственное казенное учреждение здравоохранения «Психиатрическая больница св. Николая Чудотворца»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Psychiatric Hospital of St. Nicholas the Wonderworker</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-7"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской Федерации;&#13;
Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр психиатрии и неврологии имени В. М. Бехтерева» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Pavlov University;&#13;
V. M. Bekhterev National Medical Research Center for Psychiatry and Neurology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-8"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Петербургский институт ядерной физики имени Б. П. Константинова Национального исследовательского центра „Курчатовский институт“»;&#13;
Федеральное государственное бюджетное образовательное учреждение высшего образования «Первый Санкт-Петербургский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской Федерации;&#13;
Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр психиатрии и неврологии имени В. М. Бехтерева» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Petersburg Nuclear Physics Institute (PNPI); &#13;
Pavlov University;&#13;
V. M. Bekhterev National Medical Research Center for Psychiatry and Neurology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>04</day><month>07</month><year>2022</year></pub-date><volume>29</volume><issue>3</issue><fpage>46</fpage><lpage>54</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Заботина А.М., Журавлев А.С., Грунина М.Н., Насырова Р.Ф., Волкова Е.В., Тюрин А.А., Лиманкин О.В., Отмахов А.П., Крупицкий Е.М., Незнанов Н.Г., Тараскина А.Е., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Заботина А.М., Журавлев А.С., Грунина М.Н., Насырова Р.Ф., Волкова Е.В., Тюрин А.А., Лиманкин О.В., Отмахов А.П., Крупицкий Е.М., Незнанов Н.Г., Тараскина А.Е.</copyright-holder><copyright-holder xml:lang="en">Zabotina A.M., Zhuravlev A.S., Grunina M.N., Nasyrova R.F., Volkova E.V., Tyurin A.A., Limankin O.V., Otmakhov A.P., Krupitsky E.M., Neznanov N.G., Taraskina A.E.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.sci-notes.ru/jour/article/view/879">https://www.sci-notes.ru/jour/article/view/879</self-uri><abstract><sec><title>Введение</title><p>Введение. Существует проблема прогноза эффективности и безопасности терапии антипсихотическими препаратами, одна из мишеней которых – рецептор дофамина D1. Лимфоциты периферической крови (ЛПК) – объект исследования рецепторов нейротрансмиссии.</p><p>Цель – изучение экспрессии гена DRD1 (мРНК, белок) в ЛПК как возможного биомаркера прогноза терапии оланзапином и галоперидолом.</p></sec><sec><title>Методы и материалы</title><p>Методы и материалы. Выборка: 106 пациентов с диагнозом «Расстройство шизофренического спектра». Дизайн исследования: проспективное лонгитудинальное наблюдение с назначением препарата путем рандомизации. Оценка психического статуса и развития паркинсонизма: шкалы Позитивных и негативных синдромов (PANSS) и Симпсона Агнуса (SAS). Материал исследования – ЛПК. Уровень мРНК гена DRD1 определяли методом полимеразной цепной реакции в режиме реального времени. Концентрацию белка DRD1 в ЛПК измеряли методом иммуноферментного анализа.</p></sec><sec><title>Результаты</title><p>Результаты. При воздействии галоперидола (но не оланзапина) в течение 28 дней концентрация белка DRD1 в ЛПК снижалась зависимо от его начального уровня. Уровень мРНК гена DRD1 в ЛПК оставался неизменным при действии препаратов. Пациенты с эффективной терапией оланзапином имели более низкие значения уровня мРНК DRD1. Побочные эффекты терапии (паркинсонизм, набор веса) не были ассоциированы с изучаемыми характеристиками DRD1.</p></sec><sec><title>Заключение</title><p>Заключение. Действие галоперидола приводит к снижению концентрации белка DRD1 в ЛПК, которое зависит от начального уровня белка. Эффективная терапия оланзапином ассоциирована с пониженным уровнем мРНК DRD1 в ЛПК до начала лечения. </p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Introduction</title><p>Introduction. There is a problem in predicting the efficacy and safety of antipsychotic therapy. Dopamine receptor D1 is one of the targets of antipsychotics. Peripheral blood lymphocytes (PBL) are the research object of neurotransmission receptors.</p><p>The objective was to study DRD1 gene expression (mRNA, protein level) in PBL as a possible biomarker of olanzapine and haloperidol therapy prognosis.</p></sec><sec><title>Methods and Materials</title><p>Methods and Materials. Sample: 106 patients diagnosed with schizophrenic spectrum disorder. Study design: prospective longitudinal follow-up with drug administration by randomization. Assessment of mental status and development of Parkinsonism: Positive and Negative Syndrome Scale (PANSS) and Simpson-Agnus Scale (SAS), respectively. PBL was study material. DRD1 mRNA level was determined by real-time PCR. DRD1 protein concentration in PBL was measured by enzyme immunoassay.</p></sec><sec><title>Results</title><p>Results. Haloperidol (but not olanzapine) treatment for 28 days, leads to DRD1 protein concentration decrease in PBL in a manner dependent on its initial level. DRD1 mRNA level in PBL remained unchanged during the treatment. Patients with effective therapy by olanzapine had lower DRD1 mRNA levels. Side effects of the therapy (Parkinsonism, weight gain) were not associated with studied DRD1 parameters.</p></sec><sec><title>Conclusions</title><p>Conclusions. Haloperidol treatment leads to a decrease of DRD1 protein concentration in PBL, which depends on the initial protein level. Effective olanzapine therapy is associated with reduced DRD1 mRNA level in PBL before the treatment. </p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>DRD1</kwd><kwd>шизофрения</kwd><kwd>антипсихотики</kwd><kwd>лимфоциты периферической крови</kwd></kwd-group><kwd-group xml:lang="en"><kwd>DRD1</kwd><kwd>schizophrenia</kwd><kwd>antipsychotics</kwd><kwd>peripheral blood lymphocytes</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено в рамках государственного бюджетного финансирования. Государственное задание: № 121052800046-9; № 121060200125-2.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Lopez A. D., Murray C. C. The global burden of disease, 1990–2020 // Nat. Med. – 1998. – № 4. – Р. 1241–1243. Doi: 10.1038/3218.</mixed-citation><mixed-citation xml:lang="en">Lopez A. D., Murray C. C. 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